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1801652466
PEYTON YVETTE WHATLEY
SHREVEPORT, LA
NPI
1801652466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: LA A11034R)
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
PEYTON YVETTE WHATLEY PTA
6969 FERN LOOP
SHREVEPORT, LA 71105-4159
Phone number: 318-383-0022
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Mailing Address
PEYTON YVETTE WHATLEY PTA
135 SIRMAN RD
BENTON, LA 71006-4116
Phone number: 318-780-3161
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